Provider Name: MAGNOLIA MANOR NURSING AND REHAB CTR, LLC
Address: 1411 CLAIBORNE AVENUE, SHREVEPORT, LA 71103
Phone: (318) 868-4421
County: Caddo (080)
Ownership Type: For profit - Limited Liability company
Certified Beds: 98
Average Residents Per Day: 91.4 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: MAGNOLIA MANOR NURSING & REHAB CNTR LLC
First Approved Date: April 1, 1997
Affiliated Entity: CENTRAL MANAGEMENT COMPANY (130)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 4 ()
QM Rating: 1 (20)
Long Stay QM Rating: 1 (20)
Short Stay QM Rating: (20)
Staffing Rating: 1 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.39831, LPN Staff Hours Per Day: 0.8942, RN Staff Hours Per Day: 0.1824, Licensed Staff Hours Per Day: 1.0766
Total Nurse Staff Hours Per Day, per resident: 3.47497
Weekend Nurse Staff Hours: 2.91362, Weekend RN Staff Hours: 0.1074
PT Staff Hours Per Day, per resident: 0.0561
Nurse Staff Turnover: 40.3, Nurse Turnover Note:
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 1.9865, Case Mix LPN Hours Per Day: 0.8016, Case Mix RN Hours Per Day: 0.4180
Adjusted Nurse Aide Hours Per Day, per resident: 2.45956, Adjusted LPN Hours Per Day: 0.8232, Adjusted RN Hours Per Day: 0.1644
Total Adjusted Nurse Hours Per Day, per resident: 3.41620
Adjusted Weekend Nurse Hours Per Day, per resident: 2.86435
Health Survey Dates and Scores: Cycle 1: 2023-11-01 (Score: 20), Cycle 2: 2022-11-30 (Score: 0), Cycle 3: 2021-12-15 (Score: 28)
Total Weighted Health Score: 14.667
Reported Incidents: 0, Substantiated Complaints: 3
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 28665.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1411 CLAIBORNE AVENUE,SHREVEPORT,LA,71103 (32.4782, -93.759)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2023-09-26
Type: Health, Deficiency: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-15
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-15
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-15
Type: Health, Deficiency: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-20
Type: Health, Deficiency: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-01-20
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: